I have a DVT in my left leg and have to wear a compression sock because the valve is broken. Is there a surgical treatment to fix this?

I have a DVT in my left leg and have to wear a compression sock because the valve is broken. Is there a surgical treatment to fix this?

I have to wear a compression sock because I had a DVT and the valve in the vein that runs behind my knee is broken. I am still young and would like this fixed so I don't have to wear the sock. Is there a procedure to fix this?

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ANSWERS FROM DOCTORS (9)

There really are no procedures used to correct bad veins or fix broken valves. If a stocking is necessary to prevent swelling and also prevent DVTs, then this may be something that has to be worn long term. It is difficult to comment on directly without seeing an ultrasound or venogram.

There really are no procedures used to correct bad veins or fix broken valves. If a stocking is necessary to prevent swelling and also prevent DVTs, then this may be something that has to be worn long term. It is difficult to comment on directly without seeing an ultrasound or venogram.

6 years ago by
Bella MD Laser Vein and Aesthetic Center

Complex question. Need to see a vein specialist to sort through the anatomy.

6 years ago by Bella MD Laser Vein and Aesthetic Center

Complex question. Need to see a vein specialist to sort through the anatomy.

I strongly recommend that you continue to wear the compression stockings per your physicians recommendation since this has been shown to decrease the chance of "post thrombotic syndrom."
Additionally, you really need to know which "valve is broken." A complete ultrasound is needed. If you do not have any DVT anymore and you have superficial venous reflux, that could be treated and you could get improvement of your symptoms (assuming you have them).

I strongly recommend that you continue to wear the compression stockings per your physicians recommendation since this has been shown to decrease the chance of "post thrombotic syndrom."
Additionally, you really need to know which "valve is broken." A complete ultrasound is needed. If you do not have any DVT anymore and you have superficial venous reflux, that could be treated and you could get improvement of your symptoms (assuming you have them).

6 years ago by
Angelo N. Makris MD

There is not a procedure to treat the procedure to treat incompetent deep venous valves.

6 years ago by Angelo N. Makris MD

There is not a procedure to treat the procedure to treat incompetent deep venous valves.

Acute DVT can be treated in selected patients with infusion of a medication through a catheter positioned within the clot in order to break down the clot (thrombolysis). This is most commonly used for extensive clot in the major deep vein of the thigh (femoral vein) or the iliac veins of the pelvis which drain the blood from the leg to the abdomen. Some physicians will also treat the popliteal vein behind the knee in very selected patients. The purpose of early clot lysis is to preserve as much valve funtion as possible by dissoving the clot before the valve is irreparably damaged.
Actual valve repair is performed in the deep veins of the leg for a small number of patients with very severe venous insufficiency and is not performed in patients with recent DVT.
In my opinion, everyone who has ever had DVT should be wearing medical grade elastic compression stockings as soon as the diagnosis is established and should do so lifelong unless there is a specific medical reason not to wear the hose.

Acute DVT can be treated in selected patients with infusion of a medication through a catheter positioned within the clot in order to break down the clot (thrombolysis). This is most commonly used for extensive clot in the major deep vein of the thigh (femoral vein) or the iliac veins of the pelvis which drain the blood from the leg to the abdomen. Some physicians will also treat the popliteal vein behind the knee in very selected patients. The purpose of early clot lysis is to preserve as much valve funtion as possible by dissoving the clot before the valve is irreparably damaged.
Actual valve repair is performed in the deep veins of the leg for a small number of patients with very severe venous insufficiency and is not performed in patients with recent DVT.
In my opinion, everyone who has ever had DVT should be wearing medical grade elastic compression stockings as soon as the diagnosis is established and should do so lifelong unless there is a specific medical reason not to wear the hose.

I strongly recommend that you continue to wear the compression stockings per your physicians recommendation since this has been shown to decrease the chance of "post thrombotic syndrom."
Additionally, you really need to know which "valve is broken." A complete ultrasound is needed. If you do not have any DVT anymore and you have superficial venous reflux, that could be treated and you could get improvement of your symptoms (assuming you have them).

I strongly recommend that you continue to wear the compression stockings per your physicians recommendation since this has been shown to decrease the chance of "post thrombotic syndrom."
Additionally, you really need to know which "valve is broken." A complete ultrasound is needed. If you do not have any DVT anymore and you have superficial venous reflux, that could be treated and you could get improvement of your symptoms (assuming you have them).

6 years ago by
Vein Specialists

You should confirm that the deep system of veins and the superficial system of veins were examined, as many patients have more severe superficial insufficiency than deep insufficiency and this fact is often overlooked.

6 years ago by Vein Specialists

You should confirm that the deep system of veins and the superficial system of veins were examined, as many patients have more severe superficial insufficiency than deep insufficiency and this fact is often overlooked.

There are procedures to repair valves but these are fairly involved and usually reserved only for chronic severe cases. DVT from the knee down is usually not as severe as in the thigh or above the groin. I would recommend follow up ultrasound at 6 months and 1 year. There is a chance that the clot will resolve and the valve may not be destroyed. Wear the compression stocking until you can be reevaluated.

There are procedures to repair valves but these are fairly involved and usually reserved only for chronic severe cases. DVT from the knee down is usually not as severe as in the thigh or above the groin. I would recommend follow up ultrasound at 6 months and 1 year. There is a chance that the clot will resolve and the valve may not be destroyed. Wear the compression stocking until you can be reevaluated.

I wear compression stockings for varicose veins during my pregnancy. They ease the pain and tiredness, but my legs get so itchy sometimes - especially after I take my stockings off. What can i do to prevent the itchiness and are they too tight?

Do you recommend wearing compression stockings on long flights? I have two flights: one 8 hours with a break of 12 hours and continuing another 12 hours after. I have store bought knee highs and thigh highs. Any disadvantages?

I got knee surgery and have been wearin the socks for 3 weeks with some rests a day. I walk on my leg so blood circulates and crutches help me in public. Is it safe to not wear the stockings at all anymore? I just really don't want a blood clot.

I was wondering if someone who already has a clot wore compression stockings, would it be safe? Might this dislodge the clot? I only just learned about compression stockings and I'm not sure of these details.

I presently suffer from a sciatica for the 1st time. Lots of pain in my calf area and particularly in one pinpoint spot in the calf along with hip/groin pain.I wonder if stockings will help my calf pain and is it safe at 20/30 compression?Thank you

I would like "save" my legs and buy compression stockings. I dont have any other medical problems that would require me to use the stockings other that I am a nurse and am on my feet a lot. What level of comrpession would you recommend I start with?

My vascular surgeon did an ultrasound and prescribed endovenous laser ablation. She also suggested that I wear compression stockings after the procedure. However, due to severe psoriasis and eczema on my feet, I cannot wear full-coverage stockings that cover them. They must always be in wet dressings, but cannot be fully covered. Would footless compression stockings be just as effective as full-coverage hose following the procedure?